Contents of the New York Medical Abstract. 
NOVEMBER, 1882. 
The Spasmodic Paralyses of Infancy, I., James Ross, M.D., F.R.C.P., 2 illustrations. 
Hysterical Spine, Osman Vincent, F.R.C.S., Ed., M.R.C.S., Eng. 
Case of Congenital Absence of Uterus and Vagina, William M. Reid, M.D., 1 illustration. 
Two Cases of Pericarditis, with Remarks, Robert Saundby, M.D., Edin. 
The Data of Alienism, I., Charles Mercier, M.B., Lond., h .R.C.S. 
The Invasion of Inanimate Material by Granulation Tissue, C. B. Ball, M.D., F.R.C.S.I. 
Puerperal Fever: Its Treatment and Prevention. John Lowe, L.R.C.S.I., &c. 
A Few Words About Eatables, C. B. Radcliffe, M.D. 
Two New Methods of Reduction in relocations of Femur, J. E. Kelly, F.R.C.S.I., 2 cuts. 
Albuminuria of Epilepsy, Robert Saundby, M.D., Edin. 
Pathology of Rickets, G. R. Gilruth, F.R.S.E. 
Salicylate of Soda in Tonsillitis, and as a Local Application in Gout, Edward Mackey, M.D. 
Observations on Chronic Morphinism, H. Obersteiner, M.D., Vienna. 
Study of the Face as an Index of the Brain, Francis Warner, M.D., 6 illustrations. 
Health of Criminal Women, F. M. Mosher, M.D. 
Items.—Notes and Titles. 
DECEMBER, 1882. 
Four and a Half Years’ Experience in the Lock Wards of the Edinburgh Royal Infirmary, 
A. G. Miller, F.R.C.S.E.. 1 plate and 2 illustrations. 
Localised Convulsions from Tumour of the Brain, J. Hughlings-Jackson, M.D., F.R.S., 2 illus. 
Notes on Abdominal Surgery, William Stokes. 
The Cont.agium of Gonorrhoea, C. R. Drysdale, M.D., M.R.C.P., Lond. 
Offensive Catamenia or Bromo-Menorrhcea, Alfred Wiltshire, M.D., F.R.C., Lond. 
Shearing or Moulding of Foetal Head, in its Medico-Legal Aspect, W. J. Simpson, M.D., 2 
plates. 
Diagnosis of Cervical Tumours, Thomas E. Chavasse, M.D., C.M., F.R.C.S. 
The Silica Spinal Jacket, George R. Fowler, M.D. 
Chronic Dysentery, C. R. Francis, M.B.. M.R.C.P. 
Treatment of Diphtheritic Sore Throat, W. Allan Jamieson, M.D., F.R.C.P. 
Somewhat Unusual and Complicated Case of Inguinal Hernia, Joseph Bell, F.R.C.S., Ed. 
Clinical Lectures on Diseases of Women. No. L, J. Matthews Duncan, M.D., LL.D. 
Indications for the Use of Digitalis, J. Milner Fothergill, M.D., Edin. 
Items.—Notes and Titles. 
MEDICAL ABSTRACT REPRINT. 
No. 6. 
RESECTION OF THE PYLORUS. 
BY M. LE DOCTEUR KAHN. 
JANUARY, 1883. 
Intra-Peritoneal Pelvic Hsematocele, Angus Macdonald. M.D. 
Diabetic Coma, Balthazar Foster, M.D., F.R.C.P., and Robert Saundby, M.D., M.R.C.P. 
The Germ Theory, Kendal Franks, M.D. 
The Data of Alienism, II., Charles Mercier. M.B., Lond.. F.R.C.S. 
Some Points in Relation to Sounds of the Heart, W. H. Broadbent, M.D., F.R.C.S. 
Clinical Lectures on Diseases of Women, II., J. Matthews Duncan, M.D., LL.D. 
Whooping-Cough : Its Pathology and Treatment, Thomas M. Dolan, F.R.C.S., Edin. 
Hysteria in Young Boys, M. Charcot, 4 illustrations, Translated from the French. 
Items.—-Notes and Titles. 
FEBRUARY, t88j. 
The Spasmodic Paralyses of Infancy, II.. James Ross, M.D., F.R.C.P., 2 illustrations. 
Phthisis of the Larynx, G. Hunter MacKenzie, M.D., 1 plate, 2 illustrations. 
Situation of Eggs and Fetuses in Twin Pregnancy ; Symptoms, M. P. Buden, 8 illustrations. 
Parasites in the Pork Supply of Montreal. Wm. Osier, M.D., and A. W. Clement. 
Two Cases of Hysterical Contraction of Traumatic Origin, M. Charcot, Translated from the 
French, 2 illustrations. 
Method for the Estimation of Urea in the Blood, John Berry Haycraft, M.B., F.R.S.E. 
Therapeutic Value of Sulphurous Acid and Steel in Scarlatina Maligna, Keith Norman Mac- 
donald. M.D. 
Diseases of the Fallopian Tubes, Thomas Savage. M.D., M.R.C.P., Lond. 
On the Pathology of General Paralysis, Joseph Wigglesworth, M.D., 1 plate. 
Items.—Notes and Titles. 
MARCH, 1883. 
Two Cases of Hysterical Contraction of Traumatic Origin, M. Charcot, 5 illustrations, Trans- 
lated from the French. 
Koch’s Researches on Tuberculosis, George A. Heron, M.D., Lond. 
The Phenomena of Angina Pectoris, and their Bearing upon the Theory of Counter Irritation, 
W. Allen Sturge, M.D. 
Treatment of Epilepsy, Robert Saundby, M.D., Edin. 
Clinical Lecture on Diseases of the Lower Bowel, Edward Hamilton, F.R.C.S.I., 2 plates and 
5 illustrations. 
Washing, Medication and Alimentation of the Stomach, M. Dujardin Beaumetz, from the French 
A Form of Loss of Memory Occasionally Following Cranial Injuries, Joseph Bell. 
Nitrite of Sodium in Treatment of Angina Pectoris, Matthew Hay, M.D. 
Peroxide of Hydrogen in Ophthalmic Practice. 
Germs and the Spray, John Duncan. 
Inoculatiort and Propagation of the Bacillus Tuberculosis, M. BaWs, Paris, from the French. 
Items.—Notes and Titles. 2 
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Contents of the New York Medical Abstract for April, 1883. 
Basilysis for Dystocia from Hypertrophic Elongation of the Cervix Uteri, Alexander Russell 
Simpson, M.D.. F.R.C.S., 3 illustrations. 
So-Called Sponge-Grafting. Kendal Franks, M.D., F.R.C.S.I., 1 plate. 
Chromic Acid in Certain Affections of the Tongue, Henry T. Rutlin, F.R.C.S. 
On the Character and Hallucinations of Joan of Arc, William W. Ireland, M.D. 
The Prophylaxis of Opthalmia Neonatorum, Alexander Russell Simpson, M.D., F.R.S.E. 
Venesection, John Wylie, M.B. 
Experimental Researches in the Employment of the Magnet in Epilepsy, MM. Bourneville and 
Bricon, from the French, 6 illustrations. 
The Data of Alienism, III., Charles Mercier, M.B., Lond.. F.R.C.S. 
Clinical Remarks on Functional Vomiting of Hysteria, J. S. Bristowe, M.D., F.R.C.S. 
Resection of the Pylorus, M. Le Docteur Kahn. 
Items.—Notes and Titles. 
MAY, 1883. 
Two Cases of Tumour of the Larynx, D. N. Knox, M.A., M B., 1 illustration. 
Differential Diagnosis of Traumatic Lesions of the Brain, M. Duolay, Faculte de Mtdecine. 
Clinical Lectures on Diseases of the Lower Bowel, Edward Hamilton, F.R.C.S.I. 
Report to the Association for the Advancement of Medicine by Research on the Relation of 
Micro-Organisms to Tuberculosis, W. Watson Cheyne, M.B., F.R.C.S., 2 color-plates. 
The Mental Condition in Hypnotism, D. Hack Tulce, F.R.C.P. 
Items. —Notes and Titles. 
RESECTION OF THE PY^E^ORUS. 
BY M. LE DOCTEUR KAHN. 
Translated from Le Progres Medic 
The question of the resection of the pylorus is sufficiently old, for in the 
earlier years of this century a German physician, Karl Merrern, made such ex- 
periments upon a dog as demonstrated the possibility of the operation, and 
spoke of a Philadelphia surgeon who had made similar researches. Neither of 
them met with great success. People talked for a while of “Merrem’s dream 
then the matter was so completely forgotten that when, in 1874, Gussenbauer 
and Winiwarter performed the same experiments they did not know of Merrem’s 
labors in the year 1810. After several failures they succeeded in securing the 
survival of one of their animals—a dog—who was healthy and fat seven months 
after the operation, when he was sacrificed in experiments of another nature. 
Kaiser and Werth then took up the question with the object of establishing 
more clearly the method of operation. In one case they even removed the 
entire stomach, dfawing together the pylorus and cardia. The animal lived, 
and at the end of eight months weighed one half more than he did before the 
operation. 
The operation upon the human subject was made for the first time on the 
9th of April, 1879, by Pean, a Frenchman, upon a patient who threatened 
suicide if the surgeon refused to extirpate the cancer. 
Eighteen months later, the 19th of November, 1880, Rydygier, of Kulm, 
operated upon a man of 64 years. The unsuccessful termination of these two 
operations (for the first patient died in five days, and the second in 12 hours), 
was not of a nature to attract many imitators ; but Billroth, on the 22d of Jan- 
uary, 1881, performed the operation upon a woman of 43 years, and she sur- 
vived. This success made a great noise in Germany and excited much enthu- 
siasm. Billroth hastened to operate upon two other cases, and his example was 
followed by many imitators. In the four months following, 9 resections of the 
pylorus were made by German physicians, and the year 1881 saw no less than 
17 of them. To his first success Billroth had joined a second, and Woelfler, his 
assistant, and Czerny added two more. Unfortunately Billroth’s first patient 
died of relapse four months after the operation, and the absence of news from 
his second patient and the one operated upon by Czerny, left some doubt of the 
permanence of the attempted cure. It is known that all of the others died from 
the operation, and these facts explain why the enthusiasm concerning it has 
cooled. 
But if Germany appeared calmed upon this point, if we do not find there any 
case of an operation made in 1882, we observe, nevertheless, that resection has 
since made the tour of the world, and we find it in Holland, England, Italy, 
Brazil, and the United States. We cannot present full details of the cases, but 
the following table gives the principal facts concerning the 27 cases of resection 
published up to the end of 1882. 
Space will not permit us to give the complete manual of operation as thus far 
followed. We will draw attention to one of the points, which is interesting on 
account of the difficulty which it presents and the ingenious manner in which it 4 
Operator and date Operator and date 
of the Operation. Symptoms. Nature of Results. Remarks and Bibli- of the operation.J Symptoms. Nature of Results. Remarks and Bibli- 
Sex and Age. the Lesion. ography, Sex and Age. I |the Lesion. ography. 
1 ' I1'.m. Vomitings, (.1- Cancer of Two transfusions of Pdan Diag. et Trait. 8. Wolfier, Great dilatation of Colloid. A year afterward Wolder. L i ber die 
At Paris, chexia, very great the blood. Death on desTum. del'Abd. April 8, 1881. stomach. patient still in very etc.,et H'eiu IVoch., 
April a. 1879. dilatation of the pylorus. thejthday. Gas. det Hbpitaux. h., 5a years. Tumor movable. good health. 188a. No. 14. 
M. sinm.n h 1879, No. 60. 
———— — 9. Berns, Sick for 3 years. Cancer of Died in 4 hours. Tumor very ad- 
s. Rydygier, Pains, vomitings, Scirrhus. Died in ta hours, I Dent. Zeitsch. /dr April 33, 1881. Dilatation of stom- pylorus. he rent to pan- 
At Kulm. movable tumor CAir. Bd. xiv. K, 49 years. ach. Tumor in um- creas. During op- 
Nov. 16, 1880. above the bilical region. eration vena cava 
M.,64 years9 mo* umbilicus. opened to a length 
of 10 centimetres. 
3. Billroth, Vomitings, sudden Colloid. Survived 4 months. Wolder. Ueber die It'eim H ack., 1881, 
Vienna, appearance of Died May 43 of re- rwm H.P. Billroth, No. 50. 
{an. S9, 1881. symptoms in Oct. lapse, disease ex- ausg. resect, der 
f., 43 years. 1880. Tumor in re- tending to walls of Care. Pylorus. 1°. Jurid, Tumor seemed to Cancer of Speedy death. Tumor, despite ap- 
gion of pylorus. stomach and intes- Vienna, 1881. May. 1881. be very mobile. pylorus. parent mobility, ad- 
tine. . tiered very strongly 
to pancreas. II eia 
4. __ Billroth, j No vomitings. Epithelial. Died in 9 days. Daily vomitings af- ffWA., 1881. No. aj. 
Feb. a8, 1881. Tumor at left of ter operation. Are- 
F., 39 years. umbilicus. opening on the 7th I*. Czerny, Pams and vomit- Colloid. In Jan., 1882, pa- Arch, de Langeu- 
day and establish- June ai, 1881. ings. Symptoms Uient still very well. beck, Bd. 27, Hft. 4. 
merit of duodenal M., a8 years. going back no fur- and had increased 
fistula. Wolder tner than six weeks. much in weight 1 
l eber die tvu H. P. ~ 
Billroth, ausg. re- 1*. Lucke. Pains. No vomit- Scirrhus. Died in 10 hours. At autopsy heart 
sect, der care. Py- June 25. 1881. ings. Regular isoft.valvcs injected, 
torus. Vienna, 1881. M.. 33 years. stools. Tumor pain- lungs irdematous, 
ful. General con- scirrhus ganglia 
5. Billroth, Pains lasting one Medullary. Died same evening. Cancer adhered to dition good. back of pancreas. 
March is, 1881. rear. Vomitings. pancreas. Wolder Dents. Zettsch. fur 
F., 38 years. Stools very rare. i 'eber die voa H. P. CAir., Bd. xvi. 
Tumor above and to Billroth, ausg. re- 
right of umbilicus. sect, der care. Py- 13. Kronlein, Pams for 5 months Cancer. Died in >4 hours. Despite its mobility, 
lorns. Vienna, 1881. June 4, 1881. Tumor very mov- tumor adhered very 
F., 54 years. able. Very marked strongly. Carci- 
6, Nicolaysen, Pains tor «omonths. Epithelial. Died same night. Some large ganglia emaciation. nomatous indltrat- 
March 17, 1881. Vomitings. Mov- removed from tion extended into 
F., 37 years. able tumor. Dtts. omentum. Sor desk t ' . the liver and gang- 
tation of stomach. Med. A inch. Bd. xiii lia. Cor. blatt. /ur 
Sshw. A erst., |88*. 
7. Bardenheuer, Cancer. Died *6 hours after Vomitings of blood 
March 18. 1881. operation. followed operation 14. Kitajewsky, Very weak. Cancer. Died in 6 hours. Sutures of occlu- 
F., 34 years. At autopsy much July 16, 1881 sions found a little 
blood found in F., 5* years. relaxed at autopsy, 
stomach. Barden- Cent, /dr Chi’-., 
better. " 1881. p. 783. 5 
Operator and date Operator and date 
of the operation. Symptoms. Nature of Results. Remarks and Bibli- of the operation. Symptoms. Nature of Results. Remarks and Bibli- 
Sex and Age. I jthe Lesion.I j ography. !j Sex and Age. the Lesion., i ography. 
15. Weisslechner, I Very cachectic. Cancer. Died in 5 hours. Tumor adhered to' 22. Southam, Pains, dilatation of Scirrhus. Died in 14 hours. Brit. Med. Jour., 
Aug. 18, 1881. pancreas and liver. Aprils, 1882. stomach, vomitings, 1882, No. 1,126. 
M., 47 years. Cent. /Ur Chir.,\ M., 43 years. emaciation. Very 
1881, p. 783. j pronounced consti- 
p— pation. Stools rare 
16. Billroth. Pains for 4 months. Glandular. I Five months after- IVein. Med. IVoch., and tarry. Tumor 
Oct. 23, 1881. Vomitings. Small Jward patient in|i88i, No. 51; 1882,1 movable. 
F., 36 years. tumor. j very good health. | No. 14. 
23. Fort, Extreme emacia- Cancer. Died very soon af-Tumor adhered to 
17. Billroth, Great dilatation of Cancer. Died on the thirdjTumor adhered to April 17, 1882. tion. Tumor mov- ter operation. pancreas, portal 
Nov. 5, 1881. stomach. j day. pancreas. IVein.i Rio Janeyro. able. vein, and other por- 
M., 44 years, j j Med. IVoch., 18&1J F. tions of hepatic 
No. 51; 1882,No. i4.[ pedicle. Gaz. des 
Hop., 1882, No. 123. 
18. Bardenheuer. I Cancer. Died on the eighthjRydygier. Satnm- - 
day. lung /Cl. Vort., 24. Hahn. Pains, vomitings. Cancer. Died on the seventh Patient had had 
No. 220. May 19, 1882. emaciation. enor- day. fecaloid vomitings, 
— F., 63 years. mous dilatation of which from the first 
19. Bardenheuer. Cancer. Died on the second Tumor adhered to stomach. Tumor led to a diagnosis of 
day. pancreas. Rydygier. very mobile. ileus. Berlin Klin. 
Sammlung Kl. IVoch. 1882, No. 37. 
Vort., No. 220. j 
25. Richter, Pains, vomitings, Cancer. Died in 3 hours, j San Francisco IVest. 
20. Langenbeck. Died soon after- Strong adhesion to May 25, 1882. emaciation, tumor. \Lancet. July, 1882. 
ward. pancreas.which was M., 51 years. Reported by Cen- 
deeply involved. tralbl., 1882. 
I Rydygier. Samm- 
lung, etc., nth 26. Caselli, Dilatation, pains. Cancer. J Died in 7 hours. ] At the autopsy the 
Congress German June n, 1882. | other organs were 
Surgeons. F. found healthy. 
. Italia Medic a, 
21. Gussenbauer. Tumor very mov- Died in 16 hours. Extended adhesions j June, 1882. 
F. able. to pancreas, of . 
which it was neces- 27. Kohler. (Symptoms of cancer Cancer. Died in 6 hours, j The Med. Herald, 
sary to remove a F., 65 years. had been diagnosed 1882, No. 41. Re- 
portion. Rydygier. | 6 mos. previously. ported by Cent- 
Sammlung. I ralbl., 1882. 6 
is surmounted. We refer to that part of the operation which consists in se- 
curing the duodenum to the stomach. 
In consequence of the frequent dilatation of the stomach, the calibre of its 
section is much larger than the duodenal, so that wc have two openings of dif- 
ferent diameters to unite. Ptan, in his operation, found it very difficult to 
reduce the borders of the stomachal section sufficiently to adapt it to the duo- 
denum. The German surgeons have discovered an ingenious method of doing 
it easily. Rydygier had, for this purpose, excised a triangular piece Irom the 
great curvature, sutured the edges of this section, and adapted it to the duo- 
denum. Billroth, operating in a more simple way, folded in the excess of mem- 
brane and sutured it to the side of the stomach. But as the duodenal and stom- 
achal sections had been made vertically, this disposition of the membrane 
brought about, in case humber 4, the formation of a cul de sac at the extremity 
of the greater curve, which made the passage of food more difficult and caused 
more vomitings than the patient had experienced before the operation. He 
modified his method as follows : He divided the stomach and duodenum, not 
vertically as before, but following an oblique line from top to bottom and from 
left to right—thus making a larger opening of this portion than by cutting ver- 
tically—and sutured the stomachal section from the smaller bend. A third 
method has been proposed. It consists in cutting the duodenum vertically, and 
the stomach in a broken line composed of three parts, the superior to be oblique 
from top to bottom and from left to right from the smaller bend, and the inferior 
oblique from top to bottom and from right to left joining the greater curve. The 
median line is then cut, vertically and between the two, joining one to the other. 
The superior and inferior incisions are then sutured, the median serving to 
receive the duodenum. 
In examining the results of the resection of the pylorus as thus far obtained, 
what do we find ? Out of 27 persons operated upon, only four have survived ; 
the 23 others died within a few hours or days after the operation. Of these 23, 
a few only showed signs of peritonitis, the greater part died in collapse. The 
mortality has been frightful, and it is proper to ask if an operation should be 
permitted which has thus far shown itself so murderous Its partisans object, 
certainly, that we should not decide from the cases recorded in 1881-2 because 
of the bad condition of the patients who were operated upon, they for the most 
part presenting adhesions of the pylorus to the pancreas, a gland that they were 
obliged to cut into in order to remove all the parts involved by the disease. 
This latter is of course a matter which should always be the rule in an operation 
which has for its end the extirpation of cancer. They add that to-day they 
would not operate in such cases and that everyone now regards an adhesion to 
the pancreas as an absolute contra-indication. 
In order that there may be no adhesion, it would be necessary to operate 
early, before the disease had time to spread. But at this time would the diag- 
nosis be sufficiently well established to warrant an operation ? We know the 
difficulties so often encountered in this disease well enough to reply that in most 
cases the diagnosis will only be established when it is too late. 
But let us suppose the most favorable case, that is to say, one having an 
assured diagnosis and symptoms which have been manifested but a short time, 
conditions presented by four choice cases of which we shall speak further on. 
Have we in such subjects any means of knowing if the pylorus is still at liberty 
or if it is already adherent to the pancreas ? To this question we must say, no ! 
In fact a sign that one would willingly take for a proof of the want of adhe- 
sion, is the perfect mobility of the tumor. In these 4 cases—Nos. lof 12, 13 and 
21—the mobility was perfect, and yet at the time of operation there were found 
very extended adhesions to the pancreas. 
On the 25th of June, 1881, Llicke, of Strasbourg, operated upon a patient of 
35 years who had never been sick before, had felt pains for only 5 months, had 
kept his appetite and had not been troubled with vomitings. The stools were 
regular and free from blood. The patient was ansemic but not cachectic. Here 
certainly was a group of symptoms which it would be difficult to improve upon. 
One might even ask how LUcke was able to decide upon risking an operation 
on a patient in so good a condition. Let us add that the tumor had an extreme 
mobility, yet at the time of operation it was found adhering to the pancreas and 
the patient died ten hours afterward. 
[Continued in April Abstract. Specimen copy sent on application.] 7 
FOR PHYSICIAN’S USE ONLY. 
SVAPNIA. 
PURIFIED OPIUM 
OR 
SVAPMA 
ALKALOIDS 
ALKALOIDS 
CODEIA, 
NARCEIA 
AND 
MORPHIA. 
THEBAIN, 
NARCOTIN 
AND 
PAPAVERIN. 
DOSE, THE SAME -A-S OPIUM. 
This article is not intended for popular use, but only on prescrip- 
tion of the profession. It is to take the place of Opium in cases where 
that drug acts injuriously. 
Dr. John Harley, of London, in his “Old Vegetable Neurotics,” details a large 
number of experiments upon the human and animal system, with six of what he con- 
siders the narcotic alkaloids. He concludes that although all six possess both narcotic 
and hypnotic properties, yet these are so varied in degree and force, as to make their 
effects, when exhibited singly, very distinct from those following their exhibition in 
combination. 
Taking the experience of practical physicians with Dr. Harley’s results, as a basis, 
we would group them in the following order : 
First Group. 
Anodyne and Hypnotic Elements. 
1. Morphia. 
2. Narceia. 
3. Codeia. 
Second Group. 
Narcotic and Convulsive Elements. 
1. Thebain. 
2. Cryptopin. 
3. Papaverin. 
Now Svapnia is a distinctive name given to the first group, representing the 
anodyne and hypnotic elements; the second group, or the narcotic and convulsive 
elements of Opium being eliminated: and is not, therefore, a simple principle, or a 
single constituent of Opium. 
The relative values of each being known, we can select and utilize those that are 
valuable, and reject those known to be deleterious and inert. 
This is what we claim, and all we claim for Svapnia. It can be relied upon and 
given in all cases where Opium or Morphia is indicated with equally good effects ; and 
in addition to this, there will be found in the practice of every physician, cases occurring 
almost every day, in which idiosyncrasy and peculiar states and diseases of the brain 
debar us from the use of Opium and Morphia, but where Svapnia can be exhibited with 
the happiest results. 
In Svapnia, there is retained all the Morphia and the greater part of the Codeia and 
Narceia, but combined with the native acids of Opium, meconic and thebolactic, in such 
a manner as to render those constituents soluble and active. 
Svapnia is uniform in its proportions, and is prepared to conform to a standard of 
Opium representing ten per cent, of Morphia. This is done by a simple proportion of 
the neutral excipient, after determining the actual amount of the alkaloids obtained from 
the Opium used. 
We may safely affirm that the danger of bad results is much diminished by a resort 
to that preparation of Opium, in which the poisonous elements are eliminated, and the 
anodyne elements in sucn a state of combination, as to reduce their toxic, and enhance 
their hygienic effects, such as has been proved to be the case with Svapnia. 
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HYDRATED OIL, 
* dU A U L iU 111 f 
WATER OIL. 
HYDROLEINE is readily tolerated by the most delicate stomachs, even when the 
pure Oil or the most carefully prepared Emulsions are rejected. The Oil is so treated 
with pancreatin, soda,boric and hyocholic acids, that (be process of digestion is partially 
effected before the organs of the patient are called upon to act upon it. Consequently 
it is readily assimilated. It will nourish and produce increase in weight in those cases 
where oils or fats, not so treated, are difficult or impossible to digest. In Consi mkiion 
and other Wasting Diseases, the most prominent symptom is emaciation, of which the 
tirst is the starvation of the fatty tissues of the body, including the brain and nerves. 
This tendency to emaciation and loss of weight is arrested by the regular use of 
HYDROLEIN'E, which may be discontinued when the usual average weight has been 
permanently regained. 
The permanence and perfection of the emulsion, and the extreme solubility of the 
HYDRATED OIL, solely prepared and sold by us under the name of HYDROI.EINE. 
is shown by its retaining its cream-like condition as lon|( as the purest Cod-Liver Oil 
will retain its sweetness. Unlike 'he preparations mentioned,or simple Cod-Liver Oil, 
it produces no unpleasant eructation or sense of nausea, and should be taken in such 
very much smaller doses, according to the directions, as will insure its complete assimi- 
lation ; this, at the same time, renders its use economical in the highest degree. 
To brain-workers of all classes. Hydrated Oil is invaluable, supplying, as it does, 
the true brain food. 
Economical in use—certain in result. Tonic—Digestive and Highly Nutritive. 
MUW principle for the tat 
INlW assimilation. rAl. 
KIDDER & LAIRD, Agents tor the United States, 
Retail Price, 1.00 per Bottle. Depot, 83 John Street, New York.